Paediatric dentist

HomePaediatric dentist

Is Milk Teeth Important?

It is very important to maintain milk teeth health. Neglected cavities in primary teeth frequently lead to problems which affect developing permanent teeth. milk teeth - or baby teeth - are important for

  • 1 proper chewing of food and eating,
  • 2 maintain space for permanent teeth and guiding them into the correct position, and
  • 3 Allowing normal development of jaw bones and muscles.
  • 4 Primary teeth are important for the development of speech and add to an attractive appearance. The front 4 teeth last until 6-7 years of age, the back teeth aren’t replaced with permanent teeth until age 10-13.

Eruption Time Of Child's Teeth

Milk teeth begin forming before birth. As early as 4 months, the first baby teeth to erupt are the lower central incisors, followed closely by the upper central incisors. Although all 20 primary teeth usually appear by age 3, the time and order of their eruption varies.

Permanent teeth start appearing around age 6, First permanent teeth erupt with the first molars and lower central incisors. At age 8, you can generally expect the lower 4 primary teeth (the lower central and lateral incisors) and the upper 4 primary teeth (the upper central and lateral incisors) to be gone and permanent teeth to have taken their place. There is a one to two year ages 8 to10 is break time and then the rest of the permanent teeth will start to come in. This process goes until approximately age 21.

Adults have 28 to 32 permanent teeth including the third molars (called wisdom teeth).

Dental Emergencies

Clean the area of the affected tooth thoroughly. Rinse your mouth vigorously with warm water, or use dental floss to dislodge impacted food or debris. DO NOT place any medicine (aspirin) on the gum or on the aching tooth. If your face is swollen, apply a cold compression and contact your dentist immediately.

Apply ice to the affected area(s). If there is bleeding, apply firm but gentle pressure with a gauze or cloth. If the bleeding stops then ok but cannot be controlled by simple pressure, call a doctor or visit the emergency room.

If possible, find out the tooth. Handle the tooth by the crown portion, and be careful not to touch the root portion. You may rinse the tooth with tap running water but DO NOT clean or handle the tooth excessively.

Inspect the tooth for fractures. If it is sound, try to replace it in its socket. Hold the tooth in place by gently biting on a gauze or clean cloth.

If you cannot replace the tooth, place the tooth in a cup containing the saliva of the person that lost it, or use milk, but NOT water.

The tooth may also be carried in the mouth beside the cheek. The person who lost their tooth must see a dentist IMMEDIATELY! Time is a critical factor in saving the tooth.)

Contact your dentist immediately.primary motive is to stop bleeding from knocked out teeth Unlike a permanent tooth, the baby tooth should not be replanted because of the possible damage to the developing permanent tooth. In most cases, no treatment is required.

In this time is a critical factor, contact your dentist immediately to minimize the chance of infection or the need for extensive dental treatment.

First of all rinse the mouth with water and apply a cold compress to reduce swelling. try to find out the broken tooth piece, bring it with you to the dentist in a glass of milk, or the person's saliva. D'NOT USE WATER TO TRANSPORT A CHIPPED TOOTH.

Call 112 immediately or take your child to the nearest emergency room or call 104 for ambulance.

Keep the jaw from moving and try to stabalize it and take your child to the nearest emergency room.

Dental Radiographs (X-Rays)

Radiographs (X-Rays) are very important for your child’s dental diagnostic process. Without them, certain dental conditions can be missed.

Radiographs allow dentists to diagnose and treat health conditions that cannot be detected only by a clinical examination, and they detect much more than cavities. For example, radiographs may be needed to survey erupting teeth, diagnose bone diseases, evaluate the site of an injury, or plan orthodontic treatment/ braces. If dental problems are detacted and treated early, dental care is more comfortable for your child and more affordable for you.

The Dentist recommends radiographs and examinations every six months for children with a high risk of tooth decay. On average, most dentists recommends radiographs approximately once a year. Approximately every 3 years, it is a good idea to obtain a complete set of radiographs, either a opg and bitewings or periapicals and bitewings.

Dentists are particularly careful to minimize the exposure of their patients to radiation. With contemporary safeguards, the amount of radiation received in a dental X-ray examination is very small. The risk is allmost negligible. In fact, dental radiographs represent a far smaller risk than an undetected and untreated dental problem.

What's The Best Toothpaste For Child?

Tooth brushing is one of the primary tasks for good oral health. But, many toothpastes and tooth polishes can damage young smiles with harsh abrasives, which can wear away young tooth enamel. When looking for a toothpaste for your child, make sure to pick one that is recommended by the Usha Smile Care(USC), as shown on the box and tube. These toothpastes are tested to insure they are safe to use.

A child less than 3 years of age use only a smear of toothpaste (the size of a grain of rice) to brush the teeth of. For children 3 to 6 years old, you can use a pea-sized amount of toothpaste and perform or assist your child’s toothbrushing. But keep in mind that young children do not have the ability to brush their teeth effectively on their own. Children should not swallow excess toothpaste during brushing

Does Your Child Grind His Teeth At Night? (Bruxism)

Parents are concerned about their children grinding their treeth while they sleep (bruxism). Often, The noise created by the grinding is the first indication of bruxism or, the parent may notice teeth wearing down. According to one theory psychology affects bruxism. Stress due to a new environment, divorce, changes at school, etc. can influence a child to grind their teeth. Another theory says pressure in the inner ear. If there are pressure changes (like in an airplane during take-off and landing, when people are chewing gum, etc.) the child will grind by moving their jaw to relieve this pressure.

The majority of cases of child bruxism do not require any treatment. If it leds to excessive wear of the teeth - attrition - is present, then a nightly mouth guard may be prescribed. The good part is that most children outgrow bruxism. The grinding typically decreases between the ages of 6-9 and children tend to stop grinding altogether between ages 9-12. If you suspect bruxism, discuss this with your pediatrician or dentist.

What to do for Thumb Sucking

Sucking is a natural reflex in infants and young children. Child may use thumbs, fingers, pacifiers and other objects on which to suck. It makes them feel secure and happy, or provides a sense of security during difficult periods. Since thumb sucking is relaxing, it may induce sleep.

If thumb sucking persists beyond the eruption of the permanent teeth can cause problems with the proper growth of the mouth and tooth alignment, and the it depends on the intensity at which a child sucks on fingers or thumbs will determine whether or not dental problems may result. Children who rest their thumbs passively in their mouths are less likely to have difficulty than those who vigorously suck their thumbs.

Children should stop thumb sucking by the time their permanent front teeth are ready to erupt. Usually, children cease between the ages of 2 and 4. Peer pressure causes many school-aged children to stop.

Pacifiers are no substitute for thumb sucking. They can affect the teeth essentially the same way as sucking thumbs. However, pacifier use can be controlled and modified more easily than the thumb or finger habit. Consult your dentist if you have concerns about thumb sucking or pacifier use.

  • 1 Children often suck their thumbs when feeling insecure. Focus on correcting the cause of anxiety, instead of the thumb sucking.
  • 2 Children who are sucking for comfort will feel less inclined to indulge the habit when their parents provide comfort.
  • 3 Reward children when they refrain from sucking during difficult periods, such as when being separated from their parents.
  • 4 Your dentist at usha smile care can encourage your child to stop sucking and explain what could happen if they continue.
  • 5 If these approaches don’t work, remind your child of their habit by bandaging the thumb or putting a sock on their hand at night. Your dentist at usha smile care may recommend the use of a mouth appliance.

What Is Pulp Therapy?

Inside the tooth, under the enamel and a hard layer called the dentin, is a soft tissue called pulp. The pulp contains blood vessels, nerves, and connective tissue and form the hard tissues surrounding the tooth during development. The pulp extends from the crown of the tooth to the tip of the roots - where it connects to the tissues surrounding the root. The pulp is important during a tooth's growth and development The purpose of pulp therapy in Pediatric Dentistry is to keep the vitality of the affected tooth so that the tooth is not lost.

Pulp therapy done in teeth with dental caries (cavities) and traumatic injury. Pulp therapy is often referred to as a "nerve treatment", "children's root canal", "pulpectomy" or "pulpotomy". The two common forms of pulp therapy in children's teeth are the pulpotomy and pulpectomy.

Pulpotomy is done to removes the diseased pulp tissue within the crown portion of the tooth. Next, an agent is placed to prevent bacterial growth and to calm the remaining nerve tissue.Then a final restoration is done, which is usually a stainless steel crown.

A pulpectomy is usally done when the entire pulp is affected into the root canal of the tooth. In this treatment, the diseased pulp tissue is completely removed from both the crown and root. In this the canals are cleansed, disinfected and, in the case of primary teeth, filled with a resorbable material. after that, a final restoration is placed. A pulpectomy in case of a permanent tooth would be filled with a non- resorbing material.

What Is The Best Age For Orthodontic Treatment?

If you notice developing malocclusions - or bad bites - can be as early as 2-3 years of age. In this, early steps can be taken to reduce the need for major orthodontic treatment at a later age.

Stage I – Early Treatment: This period of treatment encompasses ages 2 to 6. At this young age, we are concerned with underdeveloped dental arches, the premature loss of primary teeth, and harmful habits such as finger or thumb sucking. Treatment initiated in Usha Smile Care during this stage of development is often very successful and many times, though not always, can eliminate the need for future orthodontic/orthopedic treatment.

Stage II – Mixed Dentition: This period covers the ages of 6 to 12, with the eruption of the permanent incisor (front) teeth and 6 year molars. Treatment concerns deal with jaw malrelationships and dental realignment problems. According to Usha Smile Care specialist this is an excellent stage to start treatment, when indicated, as your child’s hard and soft tissues are usually very responsive to orthodontic or orthopedic forces.

Stage III – Adolescent Dentition: This stage deals with the permanent teeth and the development of the final bite relationship.

Adult Teeth Coming In Behind Baby Teeth

This is a most common occurrence with children, and is usually the result of a lower milk tooth not falling out when the permanent tooth is erupting. In most cases, it will usually fall out on its own within two months. If it doesn't, then contact your dentist at Usha Smile Care because they can easily remove the tooth. The permanent tooth should then slide into its proper place.

Early Infant Oral Care (Perinatal & Infant Oral Health)

The Usha Smile Care (USC) recommends that all pregnant women receive oral healthcare and counseling during pregnancy.Because research has shown evidence that periodontal disease can increase the risk of preterm birth and low birth weight. Talk to your doctor or dentist about ways you can prevent periodontal disease during pregnancy.

Additionally, mothers with poor oral health may be at a greater risk of passing cavity-causing bacteria to their young children. Mother's should follow these simple steps to decrease the risk of spreading the bacteria.

Visit your dentist regularly.

  • 1 Brush twice and floss once on a daily basis to reduce bacterial plaque.
  • 2 Maintain a balanced diet, and reduce beverages and foods high in sugar & starch.
  • 3 Use a fluoridated toothpaste recommended by the ADA and rinse every night with an alocohol-free, over-the-counter mouth rinse with .05 % sodium fluoride in order to reduce plaque levels.
  • 4 Try not to share utensils, cups or food which can transmit cavity-causing bacteria to your children.
  • 5 Using xylitol chewing gum - 4 pieces per day by the mother - can decrease a child’s odds of cavities.

Child's first dental visit

Parents can make their first visit enjoyable and positive. If old enough, your child should be informed of the visit and told that the dentist at Usha Smile Care (USC) and their staff will explain all procedures and answer any questions. The less to-do concerning the visit, the better.

It is best if you avoid using words around your child that might cause unnecessary fear, such as needle, pull, drill or hurt. Specialist at Usha Smille Care make a practice of using words that convey the same message, but are pleasant and non-frightening to the child.

When Will My Baby Start Getting Teeth?

Teething is the process of milk teeth coming through the gums into the mouth. It varies among individual babies; some babies get their teeth early and some get them late. In general, the first baby teeth to appear are usually the lower front (anterior) teeth and they usually begin erupting between the age of 6-8 months.

Baby Bottle Tooth Decay (Early Childhood Caries)

One serious form of decay among young children is baby bottle tooth decay. This is caused by frequent and long exposures of an infant’s teeth to sugary liquids. Among these liquids are milk (including breast milk), formula, fruit juice and other sweetened drinks.

Putting a baby away for a nap, or to bed at night with a bottle containing liquids other than water can cause serious and rapid tooth decay. Sweet liquid pools around the child’s teeth giving plaque bacteria an opportunity to produce acids that attack tooth enamel. If you must give the baby a bottle as a comforter at bedtime, it should contain only water. If your child won't fall asleep without the bottle and its usual beverage, gradually dilute the bottle's contents with water over a period of two to three weeks.

Specialist at Usha Smile Care(USC) recommands after each feeding, wipe the baby’s gums and teeth with a damp washcloth or gauze pad gentaly to remove plaque. The easiest way to do this is to sit down and place the child’s head in your lap. Or, you can lay the child on a dressing table or the floor. Whatever position you use, be sure you can see into the child’s mouth easily.

Sippy Cups

Sippy cups should be used as a training tool to transition your child from the bottle to a cup. If your child uses a sippy cup throughout the day, keep in mind fill the sippy cup with water only, except at mealtimes when you can use other sugar free beverages in moderation. If you are filling the sippy cup with liquids that contain sugar like milk, fruit juice, sports drinks, etc., and allowing a child to drink from it throughout the day, it soaks the child’s teeth in cavity causing bacteria.Water should be your child's bevevrage of choice, and what they drink most often.

Prevention (Care Of Your Child's Teeth)

Brushing Tips

  • 1 Starting at birth, clean your child's gums with a soft cloth and water.
  • 2 As soon as your child's teeth erupt, brush them with a soft-bristled toothbrush.
  • 3 If they are under the age of 2, use a small smear of toothpaste.
  • 4 If they're 2-5 years old, use a pea-size amount of toothpaste.
  • 5 Be sure and use an ADA-accepted fluoride toothpaste and make sure your child does not swallow it.
  • 6 The parent should brush the child's teeth until they are old enough to do a good job on their own.

Flossing Tips

  • 1 Flossing is an important aid to removes plaque between teeth and under the gumline where a toothbrush can't reach.
  • 2 Flossing should begin when any two teeth touch.
  • 3 Be sure and floss your child's teeth daily until he or she can do it alone.

How Diet Affect Teeth Health

Healthy eating habits lead to healthy teeth. Like the rest of the body, teeth, bones and the soft tissues of the mouth need a well-balanced diet. Children should eat a variety of foods from the five major food groups. Most pre-packaged snacks that children eat can lead to cavity formation. Thus, the more frequently a child snacks, the greater the chance for tooth decay. How long food remains in the mouth also plays a role. For example, hard candy and breath mints stay in the mouth a long time, which cause longer acid attacks on tooth enamel.Specialist Usha Smile Care(USC) suggests If your child must snack, choose nutritious foods such as vegetables, low-fat yogurt, and low-fat cheese, which are healthier and better for children’s teeth.

How Do I Prevent Cavities?

Most important thing to mantain good oral hygiene removes bacteria and the left over food particles that combine to create cavities. For infants, use a wet gauze or clean washcloth to wipe the plaque from teeth and gums. Avoid putting your child to bed with a bottle filled with anything other than water. See "Baby Bottle Tooth Decay" for more information.

For older children, brush their teeth at least twice a day for two minutes at a time. Also, watch the number of snacks containing sugar that you give your children.

The Usha Smile Care specialist recommends visiting the dentist every six months, beginning at your child’s first birthday. Routine visits will start your child on a lifetime of good dental health.

USC specialist may also recommend protective sealants or home fluoride treatments for your child. Sealants can be applied to your child’s molars to prevent decay on hard to clean surfaces.

Seal Out Decay

A sealant is a protective coating that is applied to the chewing surfaces of the back teeth (premolars and molars), where four out of five cavities in children are found. Sealant acts as a barrier to food, plaque and acid, thus protecting the decay-prone areas of the teeth.


Fluoride is a naturally occurring element which has shown to prevent tooth decay by as much as 50-70%. For children younger than 8 years old, fluoride actually helps strengthen the adult teeth that are developing beneath their gums.

Awareness of a child's potential sources of fluoride can help parents prevent the possibility of dental fluorosis.

Some sources of fluoride are

  • 1 Fluoridated toothpaste.
  • 2 Fluoride supplements.
  • 3 Tap water.

Two and three-year olds may not be able to spit out toothpaste when brushing. As a result, younger children may ingest an excessive amount of fluoride when brushing. Toothpaste ingestion during this period of permanent tooth development is the greatest risk factor for developing of fluorosis.

Mouth Guards

Oral injuries can occur if you participate in recreational activities and organized sports. Which makes a properly fitted mouth guard - or mouth protector - an important piece of athletic gear that can help protect your smile. A mouth guard should be used during any activity that could result in a blow to the face or mouth.

Mouth guards help prevent broken teeth, injuries to the lips, tongue, face, and jaw. A properly fitted mouth guard will stay in place while you're wearing it, making it easy for you to talk and breathe.

Ask your dentist about custom and store-bought mouth protectors.

Beware of Sports Drinks

Sports drinks have erosive properties and the ability to dissolve fluoride-rich enamel that can lead to cavities. The negative effects of sports drinks are due to the dense sugar content and the high amount of acid.

Children should avoid sports drinks and hydrate with water before, during and after sports to minimize dental problems.

If sports drinks are consumed:

  • 1 Reduce the frequency and contact time.
  • 2 Swallow immediately and do not swish them around the mouth.
  • 3 Neutralize the effect of sports drinks by alternating sips of water with the drink.
  • 4 Rinse mouthguards only in water.
  • 5 Seek out dentally friendly sports drinks.
  • 6 Consider diluting sports drinks with 50% water.